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Serenity Programme - www.serene.me.

uk - Impact of Events Scale (IES-R)

Impact of Events Scale - Revised (IES-R)


Identifier

Date

Below is a list of difficulties people sometimes have after stressful life events. Please read each item, and
then indicate how distressing each difficulty has been for you DURING THE PAST SEVEN DAYS with
respect to (your problem), how much were you distressed or bothered by these difficulties? This
assessment is not intended to be a diagnosis. If you are concerned about your results in any way, please
speak with a health professional.
0 = Not at all

1 = A little bit

2 = Moderately

3 = Quite a bit

4 =Extremely

Any reminder brought back feelings about it

Please select ...

I had trouble staying asleep

Please select ...

Other things kept making me think about it

Please select ...

I felt irritable and angry

Please select ...

I avoided letting myself get upset when I thought about it or was


reminded of it

Please select ...

I thought about it when I didn't mean to

Please select ...

I felt as if it hadn't happened or wasn't real

Please select ...

I stayed away from reminders about it

Please select ...

Pictures about it popped into my mind

Please select ...

10 I was jumpy and easily startled

Please select ...

11 I tried not to think about it

Please select ...

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Serenity Programme - www.serene.me.uk - Impact of Events Scale (IES-R)

12

I was aware that I still had a lot of feelings about it, but I didn't deal
with them

Please select ...

13 My feelings about it were kind of numb

Please select ...

14 I found myself acting or feeling like I was back at that time

Please select ...

15 I had trouble falling asleep

Please select ...

16 I had waves of strong feelings about it

Please select ...

17 I tried to remove it from my memory

Please select ...

18 I had trouble concentrating

Please select ...

19

Reminders of it caused me to have physical reactions, such as


sweating, trouble breathing, nausea, or a pounding heart

Please select ...

20 I had dreams about it

Please select ...

21 I felt watchful and on guard

Please select ...

22 I tried not to talk about it

Please select ...

Document Version: 1.3


Last Updated: 12 December 2012
Planned Review: 12 December 2017

Avoidance

Intrusion

Hyperarousal

Total Mean
IES-R Score

Total IES-R
Score

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Serenity Programme - www.serene.me.uk - Impact of Events Scale (IES-R)

Introduction to the IES-R


The IES-R was developed in 1997 by Daniel Weiss and Charles Marmar to reflect the DSM-IV criteria for
post-traumatic stress disorder (PTSD). The original Impact of Events Scale (IES) predated the adoption of
PTSD as a legitimate diagnosis in the DSM-III of 1980 and measured two of the four DSM-IV criteria for
PTSD; specifically re-experiencing / intrusion and avoidance / numbing.
The IES-R was designed to also assess hyperarousal, another of the DSM criteria for PTSD. Other criteria
include exposure to a traumatic event, duration of symptoms and impairment due to symptoms.
The hyperarousal scale adds seven new items to the original IES; items 4, 10, 14, 15, 18, 19 and 21.
These new items include six that measures hyperarousal symptoms (e.g. anger and irritability,
heightened startle response, difficulty concentrating, hypervigilance) and one new item that measures
intrusive re-experiencing (flashbacks) - item 14.
For comparisons with IES scores, some consider using the sum of the avoidance and intrusion items.
However, the response format in the IES assesses the frequency of symptoms (not at all = 0, rarely = 1,
sometimes = 3 and often = 5) and was changed in the IES-R to measure symptom severity (0 = not at
all, 1 = a little bit, 2 = moderately, 3 = quite a bit and 4 = extremely).
The main strengths of this revised measure are that it is short, quick and easy to administer and score
and may be used repeatedly to assess progress. It is intended to be used as a screening tool, not a
diagnostic test.
Scoring the IES-R
Avoidance Subscale = mean of items
5, 7, 8, 11, 12, 13, 17 and 22
Intrusion Subscale = mean of items
1, 2, 3, 6, 9, 16 and 20
Hyperarousal Subscale = mean of items
4, 10, 14, 15, 18, 19 and 21
Mean IES-R score = sum of the means of the three subscale scores
The maximum mean score on each of the three subscales is 4, the maximum mean IES-R score is 12.
Lower scores are better. A total IES-R score of 33 or over from a theoretical maximum of 88 signifies the
likely presence of PTSD.
Privacy - please note - this form does not transmit any information about you or your assessment scores.
If you wish to keep your results, either print this document or save this file locally to your computer. If
you click save before closing, your results will be saved in this document. These results are intended as
a guide to your health and are presented for educational purposes only. They are not intended to be a
clinical diagnosis. If you are concerned in any way about your health, please consult with a qualified
health professional.

Horowitz, M.J., Wilner, M. & Alverez, W. (1979). Impact of Events Scale: A measure of subjective stress. Psychosomatic
Medicine, 41(3), 209-218.
Weiss, D.S. (2007). The Impact of Event Scale: Revised. In J.P. Wilson & C.S. Tang (Eds.), Cross-cultural assessment of
psychological trauma and PTSD (pp. 219-238). New York: Springer.

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